Organization
SUPPORTIVE YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COOK MBA (DIRECTOR)
(973) 420-6209
Entity
Organization
Contact information
Practice address
27 LIGHAM ST, BELLEVILLE, NJ 07109-1814
(973) 735-8911
Mailing address
27 LIGHAM ST, BELLEVILLE, NJ 07109-1814
(973) 420-6209
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NJ
251S00000X
Community/Behavioral Health Agency
Primary
—
NJ
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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